DR. RICHARD L CALLIHAN JR M.D.
NPI 1154386241
Internal Medicine - Interventional Cardiology in Cincinnati, OH

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10525 MONTGOMERY RD, CINCINNATI, OH 45242(513) 745-9800(513) 985-2905 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard L Callihan Jr M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD L CALLIHAN JR M.D. (NPI 1154386241) is an individual interventional cardiology provider in Cincinnati, Ohio, licensed in Ohio (35-065501) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1989).

NPPES Registry Identity

NPI1154386241
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. RICHARD L CALLIHAN JRCredential: M.D.
Location Address10525 MONTGOMERY RDCincinnati, OH 45242-4401
Mailing Address10525 Montgomery RdCincinnati, OH 45242-4401 · (513) 745-9800 · Fax (513) 985-2905
Fax(513) 985-2905
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1989
Enumeration DateApril 20, 2006
Last NPPES UpdateJanuary 13, 2015
NPI 1154386241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in OH · 35-065501
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-086501 (OH)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35-086501 (OH)
10525 MONTGOMERY RD, Cincinnati, OH 45242

Other Identifiers 7

Medicare UPINF53801
Medicare PIN117341AZ
Medicare PIN115613AZ
Medicaid200531430IN
Medicaid2595919OH
Medicare ID-Type UnspecifiedCA4167321OH
Medicaid64110984KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard L Callihan Jr M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901797729
PECOS Enrollment IDI20050909000559
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
531 services385 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
241 services228 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
152 services139 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
88 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services40 patients
Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571
This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.
57 services54 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
42%264 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%281 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
10525 MONTGOMERY RD
CINCINNATI, OH 45242
Internal Medicine (Interventional Cardiology)
10525 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Practitioner (Gerontology)
10525 MONTGOMERY RD
MONTGOMERY, OH 45242
Nurse Practitioner (Family)
10525 MONTGOMERY RD
CINCINNATI, OH 45242
Surgery (Vascular Surgery)
10525 MONTGOMERY RD
CINCINNATI, OH 45242
Internal Medicine (Interventional Cardiology)
10525 MONTGOMERY RD
CINCINNATI, OH 45242
Internal Medicine (Cardiovascular Disease)
10525 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Practitioner (Family)
10525 MONTGOMERY RD
CINCINNATI, OH 45242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Callihan Jr's NPI number?

The NPI number for Richard Callihan Jr is 1154386241. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Richard Callihan Jr located?

Richard Callihan Jr practices at 10525 Montgomery Rd, Cincinnati, OH 45242. The listed phone number is (513) 745-9800.

What is Richard Callihan Jr's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Richard Callihan Jr enrolled in Medicare?

Yes. Richard Callihan Jr is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Callihan Jr accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Richard Callihan Jr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Callihan Jr affiliated with any hospitals?

According to CMS data, Richard Callihan Jr is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital, Bethesda North and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Richard Callihan Jr was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.